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Pregnant, American Indian women ages years in the Oklahoma City area attending the Oklahoma City Indian Clinic Target Population

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Classes will be at the OKC Indian Clinic Thursday nights from 7-8 p.m. (tentative) Initial 15 minutes to eat and confab minutes for the education session 5-10 minutes for wrap-up & Q/A Incentives: Provide dinner each week through catered food platters Provide childcare during the session Program Plan

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Participants recruited/informed In-person at OKC Indian Clinic 8-10 a.m. & 4:30-5:30 p.m. on alternating days for one weekRecruitment

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Reserved classroom No cost – approval required Proposal placed in advance Allow time for planning Submit in writing Oklahoma City Indian Clinic

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Measure specific components related to gestational diabetes mellitus with a brief self- administered questionnaire assessing participants knowledge of specific dietary and exercise recommendations. The dietitian will have one assistant for each education session, whom is a student pursuing a nutrition degree. Program Goals

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Educate participants by conducting individual nutrition/exercise information sessions on the following topics (5 total classes) - Program Goals

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Screening instruments: Height/weight and BMI Glucometer Electronic blood pressure cuff Physical activity in the last 3 days: amount of physical activity in minutes, type of physical activity, and number of times engaged in physical activity 3 day dietary recall: Caloric intake/macro- and micronutrient breakdown in FoodWorks software Number of fruits/vegetables eaten dailyTools

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1. What is gestational diabetes? a) A form of diabetes mellitus that results from autoimmune destruction of insulin-producing beta cells of the pancreas b) A metabolic disorder that is characterized by high blood glucose in the context of insulin resistance and relative insulin deficiency c) Pregnant women who have never had diabetes before but who have high blood glucose (sugar) levels during pregnancy 2. What are the five food groups? a) Grains, fruits, vegetables, dairy, protein b) Grains, fruits, vegetables, dairy, meat c) Bread, fruits, vegetables, milk, meat d) Bread, fruits, vegetables, dairy, protein 3. What is the recommended serving of vegetables throughout pregnancy that should be consumed each day? a) 2-3 servings b) 3-4 servings c) 4-5 servings d) 5-6 servings 4. A woman of average weight should gain how many pounds during her pregnancy? a) lbs b) lbs c) lbs d) lb 5. Folic acid, a key nutrient to the growth of your baby, can be found in which foods? a) Dark, leafy greens b) Peas and beans c) Citrus fruits and juices d) Whole-grain breads and cereals e) All of the aboveQuestionnaire

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NIH – NIDDK - Translational Research to Improve Diabetes and Obesity-related Outcomes; PA (R01) Research Project Grant Eligibility for the grant: Research for practical, sustainable, and cost-efficient strategies or approaches… Research focused on the prevention or reversal… Research that focuses on prevention or delay of the complications of these conditions… Approaches must have potential for wide dissemination/implementation in communities at-risk How do we Fund it?